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Individual

MR. MATTHEW RYAN ROESER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA,ATC

Contact information

Practice address
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
Mailing address
52799 COULTER CT, NEW BALTIMORE, MI 48047-6504
(586) 716-5276

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/20/2007
Last updated
07/08/2007
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